Eyelid surgery

EYELID SURGERY

Blepharoplasty

The relaxation and development of so-called “hooded eyelids” is a common age-related aesthetic concern. Excess skin forms in the upper eyelid area, which is cosmetically bothersome and can also lead to a feeling of “heavy eyes,” fatigue, and restriction of the visual field.

In cosmetic blepharoplasty, this excess skin is surgically removed. The procedure is performed on an outpatient basis under local anesthesia. The incision is placed in the natural upper-lid crease so that, as a rule, no scar is visible postoperatively. The wound is closed with an intracutaneous (intradermal) suture technique, which yields particularly aesthetic postoperative results. Sutures are removed after 7–10 days.

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EYELID SURGERY

Eyelid tumours

Benign and malignant tumors can develop on the eyelids and along the lid margins. They may be merely cosmetically bothersome or may undergo malignant transformation. Surgical removal can therefore be performed for aesthetic reasons or for medical indications. If malignancy is suspected, the excised tissue is sent for histological/pathological examination after the procedure.

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EYELID SURGERY

Chalazion / stye

A stye (medically: hordeolum/chalazion) is a painful—or sometimes already encapsulated—inflammation of a gland in the eyelid. In the acute stage, a procedure under local anesthesia to remove the inflammatory focus and relieve pressure is sensible and necessary. If the inflammation has been present for some time, encapsulation may occur, leading to an unpleasant foreign-body sensation. The procedure is performed on an outpatient basis under local anesthesia. No sutures are required.

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EYELID SURGERY

Xanthelasmata

Xanthelasma is a yellowish, well-demarcated deposit of fat or fat-like substances (cholesterol) beneath the skin. Surgical removal can be performed for aesthetic reasons: the lipid deposit is excised and the skin is then closed with sutures. The procedure is done on an outpatient basis under local anesthesia, and the sutures are removed after 7–10 days.

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EYELID SURGERY

Ectropion / entropion

Ectropion refers to an outward rolling, and entropion to an inward rolling, of the eyelids. These malpositions may be age-related or result from injury or nerve paralysis. They can cause painful rubbing of the eyelashes on the ocular surface (trichiasis), chronic inflammation, or incomplete eyelid closure (lagophthalmos, e.g., in facial nerve palsy). Surgical correction is tailored to the findings and may involve orbicularisplasty, wedge resection, or a lateral tarsal strip/canthoplasty, in which the malposition is corrected by shortening the canthal tendon and fixing it to the periosteum. The procedure is performed on an outpatient basis under local anesthesia. Sutures are removed after 7–10 days.

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Eyelid surgery

Blepharoplasty

Eyelid tumours

Chalazion / stye

Xanthelasmata

Ectropion / entropion

Charlottenburg

Steglitz

Schöneberg

Important pages

eyemed Berlin